PharmedOut

PharmedOut (PhO) is a Georgetown University Medical Center project founded in 2006. It is directed by Adriane Fugh-Berman.[1] The stated mission of the organization is to advance evidence-based prescribing and educate healthcare professionals about pharmaceutical marketing practices. Stated goals are to: 1. Document and disseminate information about how pharmaceutical companies influence prescribing 2. Foster access to unbiased information about drugs and 3. Encourage physicians to choose pharma-free CME (continuing medical education).[2]

This organization provides healthcare professionals with pharma-free continuing medical education (CME) and resources [3] to unbiased drug information. PharmedOut was founded with funds from the Attorney General Consumer and Prescriber Education grant program.[4] Since 2008, PharmedOut has been financially supported by individual donations and largely staffed by a volunteer team of physicians, pharmacists, nurses, scientists, lawyers, students, artists and writers.[5]

PharmedOut criticizes some medical research and practices, including overprescription of opioids,[6][7][8] industry construction of and influence on perceptions of diseases and symptoms,[9][10] misleading information about the benefits of and harms of testosterone,[11][12] menopausal hormone therapy,[13][14] flibanserin,[15][16][17][18][19] and Epipens.[20][21][22][23]

Articles in peer-reviewed publications include an article about how Medicare prescribers who accept industry gifts prescribe more medications (and more expensive medications),[24] how industry uses social psychology to manipulate physicians,[25] pharmacist-industry relationships,[26] an article on medical device salespeople and surgeons,[27] an analysis of pharmaceutical marketing to people with hemophilia[28] an analysis of how "key opinion leaders" are used to market drugs off-label,[29] an explanation of drug rep tactics,[30] an article on basic scientists and industry,[31] and a study that documents the effect of Why Lunch Matters,[32] a presentation that is the first to document a significant change in physicians' perceptions about their own individual vulnerability to pharmaceutical marketing.

PharmedOut has also criticized industry support of continuing medical education[33] and industry support of patient advocacy groups,[34] and has compiled a list of pharma-free patient advocacy groups.[35]

References

  1. Lamb, Brian (February 23, 2015). "Q&A: Dr. Adriane Fugh-Berman". C-SPAN.org.
  2. "About Us - Pharmed OUT". Pharmedout.org. Retrieved 29 January 2018.
  3. "Resources - Pharmed OUT". Pharmedout.org. Retrieved 29 January 2018.
  4. Elliott, Carl (22 May 2012). "Pharmed Out: an Interview With Adriane Fugh-Berman". The Chronicle of Higher Education Blogs: Brainstorm.
  5. Basken, Paul (20 June 2017). "Lessons From a Professor's 10-Year Fight to Rein In Pharmaceutical Promotion". The Chronicle of Higher Education.
  6. "Women & the Opioid Epidemic - NWHN". Nwhn.org. 26 January 2018. Retrieved 29 January 2018.
  7. Fugh-Berman, Adriane. "5 myths about opioids". Chicagotribune.com. Retrieved 29 January 2018.
  8. "Rx For Change: Obfuscating Opioid Risks - NWHN". Nwhn.org. 21 September 2017. Retrieved 29 January 2018.
  9. "Boston Review — Adriane Fugh-Berman: Selling Diseases". Bostonreview.net. Retrieved 29 January 2018.
  10. "Rx for Change — Binge-Eating Disorder: Another Invented Disease Brought to You by Pharma". Nwhn.org. 27 May 2015. Retrieved 29 January 2018.
  11. Huo, Samantha; Scialli, Anthony R; McGarvey, Sean; Hill, Elizabeth; Tügertimur, Buğra; Hogenmiller, Alycia; Hirsch, Alessandra I; Fugh-Berman, Adriane (2016). "Treatment of Men for "Low Testosterone": A Systematic Review". PLOS One. 11 (9): e0162480. Bibcode:2016PLoSO..1162480H. doi:10.1371/journal.pone.0162480. PMC 5031462. PMID 27655114.
  12. Fugh-Berman, Adriane; Scialli, Anthony R (2017). "Testosterone and sexual function". Current Opinion in Urology. 27 (6): 516–518. doi:10.1097/MOU.0000000000000438. PMID 28795961.
  13. Fugh-Berman, Adriane; McDonald, Christina Pike; Bell, Alicia M; Bethards, Emily Catherine; Scialli, Anthony R (2011). "Promotional Tone in Reviews of Menopausal Hormone Therapy After the Women's Health Initiative: An Analysis of Published Articles". PLoS Medicine. 8 (3): e1000425. doi:10.1371/journal.pmed.1000425. PMC 3058057. PMID 21423581.
  14. Fugh-Berman, Adriane J (2010). "The Haunting of Medical Journals: How Ghostwriting Sold "HRT"". PLoS Medicine. 7 (9): e1000335. doi:10.1371/journal.pmed.1000335. PMC 2935455. PMID 20838656.
  15. Meixel, Antonie; Yanchar, Elena; Fugh-Berman, Adriane (2015). "Hypoactive sexual desire disorder: Inventing a disease to sell low libido". Journal of Medical Ethics. 41 (10): 859–62. doi:10.1136/medethics-2014-102596. PMID 26124287.
  16. Hogenmiller A; Hirsch A; Fugh-Berman A. (June 14, 2017). "The Score is Even. Bioethics Forum". Thehastingscenter.org. Retrieved 29 January 2018.
  17. Hirsch A; Rebecca Holliman R; Berman A. (March 17, 2015). "The Drug that Cried "Feminism". Bioethics Forum". Thehastingscenter.org. Retrieved 29 January 2018.
  18. "September 25, 2015 – Journal of Medical Ethics blog". Blogs.bmj.com. Retrieved 29 January 2018.
  19. "Taking Sides: Should ob/gyns prescribe flibanserin for their patients?". Contemporary OB/GYN. 18 July 2016. Retrieved 29 January 2018.
  20. "EpiPens and the Sale of Fear". The Hastings Center. 7 October 2016. Retrieved 29 January 2018.
  21. "RX for Change: The Real Cost of EpiPen Shots? Peanuts! - NWHN". Nwhn.org. 9 May 2017. Retrieved 29 January 2018.
  22. Fugh-Berman, Adriane. "EpiPens are oversold and overused - Opinion". Sun-sentinel.com. Retrieved 29 January 2018.
  23. Fugh-Berman, Adriane. "Doctor: My criticism of EpiPens accurate - Opinion". Sun-sentinel.com. Retrieved 29 January 2018.
  24. Wood, Susan F; Podrasky, Joanna; McMonagle, Meghan A; Raveendran, Janani; Bysshe, Tyler; Hogenmiller, Alycia; Fugh-Berman, Adriane (2017). "Influence of pharmaceutical marketing on Medicare prescriptions in the District of Columbia". PLOS One. 12 (10): e0186060. doi:10.1371/journal.pone.0186060. PMC 5656307. PMID 29069085.
  25. Sah, Sunita; Fugh-Berman, Adriane (2013). "Physicians Under the Influence: Social Psychology and Industry Marketing Strategies". SSRN Electronic Journal. 41 (3): 665–72. doi:10.2139/ssrn.2286433. PMID 24088157.
  26. Saavedra, Keene; O'Connor, Bonnie; Fugh-Berman, Adriane (2017). "Pharmacist-industry relationships". International Journal of Pharmacy Practice. 25 (6): 401–410. doi:10.1111/ijpp.12333. PMID 28097713.
  27. o'Connor, Bonnie; Pollner, Fran; Fugh-Berman, Adriane (2016). "Salespeople in the Surgical Suite: Relationships between Surgeons and Medical Device Representatives". PLOS One. 11 (8): e0158510. Bibcode:2016PLoSO..1158510O. doi:10.1371/journal.pone.0158510. PMC 4972437. PMID 27486992.
  28. Kucab, Philip; Stepanyan, Katelyn Dow; Fugh-Berman, Adriane (2016). "Direct-to-consumer Marketing to People with Hemophilia". PLOS Medicine. 13 (6): e1001996. doi:10.1371/journal.pmed.1001996. PMC 4907439. PMID 27299305.
  29. Fugh-Berman, Adriane; Melnick, Douglas (2008). "Off-Label Promotion, On-Target Sales". PLoS Medicine. 5 (10): e210. doi:10.1371/journal.pmed.0050210. PMC 2573913. PMID 18959472.
  30. Fugh-Berman, Adriane; Ahari, Shahram (2007). "Following the Script: How Drug Reps Make Friends and Influence Doctors". PLoS Medicine. 4 (4): e150. doi:10.1371/journal.pmed.0040150. PMC 1876413. PMID 17455991.
  31. Fugh-Berman, Adriane (2013). "How Basic Scientists Help the Pharmaceutical Industry Market Drugs". PLoS Biology. 11 (11): e1001716. doi:10.1371/journal.pbio.1001716. PMC 3833865. PMID 24260026.
  32. Fugh-Berman, Adriane J; Scialli, Anthony R; Bell, Alicia M (2010). "Why lunch matters: Assessing physiciansʼ perceptions about industry relationships". Journal of Continuing Education in the Health Professions. 30 (3): 197–204. doi:10.1002/chp.20081. PMID 20872775.
  33. Fugh-Berman, Adriane; Hogenmiller, Alycia (2016). "CME stands for commercial medical education: And ACCME still won't address the issue". Journal of Medical Ethics. 42 (3): 172–3. doi:10.1136/medethics-2015-103131. PMID 26676848.
  34. "EpiPen Furor: Patient Groups Take Money, Stay Mum". The Hastings Center. 29 August 2016. Retrieved 29 January 2018.
  35. "Pharma-Free Groups". Pharmedout.org. Retrieved 29 January 2018.
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